• telehealth, physician payments, Medicaid DSH
• Environmental stewardship

Duration: July 9, 2008 to present

General Issues: Medicare/Medicaid, Health Issues, Environmental/Superfund, Firearms/Guns/Ammunition, Insurance, Budget/Appropriations, Housing, Government Issues, Veterans, Indian/Native American Affairs, Pharmacy, Taxation/Internal Revenue Code, Labor Issues/Antitrust/Workplace, Family Issues/Abortion/Adoption, Medical/Disease Research/Clinical Labs, Religion

Spending: about $12,276,835 (But it's complicated. Here's why.)

It can be tricky to figure out how much an organization spent on a particular lobbying engagement. The law only requires lobbyists to report the amount they were paid for federal lobbying each quarter rounded to the nearest $10,000—and if it's less than $3,000 in a given quarter (or less than $13,000 for organizations with in-house lobbyists), they don't have to disclose it at all. Plus, some organizations include spending that doesn’t belong in the report—for instance, money spent lobbying state governments or other legal work.

Agencies lobbied since 2008: U.S. Senate, House of Representatives, Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS), Homeland Security - Dept of (DHS), Veterans Affairs - Dept of (VA), Internal Revenue Service (IRS), Health Resources & Services Administration (HRSA), Vice President of the U.S., Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS), Defense - Dept of (DOD), U.S. Senate,

Affiliated organizations: Peace Health; Swedish Medical Center; Saint Alphonsus Regional Med Ctr